Faculty of Applied Medical Sciences

Department of Clinical Nutrition & Dietetics

Session #: Student name:

Mr. Ra’ed is a 42-year-old male who has been experiencing chronic renal insufficiency for several
years. He is admitted to the hospital with the following lab values:
BUN: 105 Cr. 5.9 Current urine volume is approximately 250 mL
Ht: 175 cm Wt: 83 kg UBW: 80 kg before 2
months
Wt. after 1st dialysis: 80 kg
He is now diagnosed with end-stage renal disease and will be started on hemodialysis.

By using the for-mentioned data; plan a sample menu for 1 day for Mr. Ra’ed by using the following
form:

 Energy and nutrient requirements: (Provide the equations or factors which you used).
  Renal exchange table:

PO4 K+ Na Fat Protei CHO Kcal # ex. Food Group

Milk (½ C) (Whole)

Meat/Fish/Poultry

Meat alternatives (Egg)

Legumes

Bread & grains

Vegetables

Low K+

Med K+

High K+

Fruits

Low K+

Med K+

High K+

Sugar/Jam/Honey

Fat

Desserts/sweets

Beverages

Coffee (1 c)

Tea (1 bag)

Total
 Goal
Diet menu: (In Arabic)
Sample food suggestions Number & Types of foods Meal/ Snack
List servings
( ) Starch Breakfast
( ) Protein ( )(Type)
( ) Veg. ( )(Type)
( ) Fruit ( )(Type)
( ) Milk ( )(Type)
( ) Fat
( ) Other CHO
( ) Starch Snack (1)
( ) Protein ( )(Type)
( ) Veg. ( )(Type)
( ) Fruit ( )(Type)
( ) Milk ( )(Type)
( ) Fat
( ) Other CHO
( ) Starch Lunch
( ) Protein ( )(Type)
( ) Veg. ( )(Type)
( ) Fruit ( )(Type)
( ) Milk ( )(Type)
( ) Fat
( ) Other CHO
( ) Starch Snack (2)
( ) Protein ( )(Type)
( ) Veg. ( )(Type)
( ) Fruit ( )(Type)
( ) Milk ( )(Type)
( ) Fat
( ) Other CHO
( ) Starch Dinner
( ) Protein ( )(Type)
( ) Veg. ( )(Type)
( ) Fruit ( )(Type)
( ) Milk ( )(Type)
( ) Fat
( ) Other CHO
( ) Starch Snack (3)
( ) Protein ( )(Type)
( ) Veg. ( )(Type)
( ) Fruit ( )(Type)
( ) Milk ( )(Type)
( ) Fat
( ) Other CHO
Good Luck 